Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,187.76 / $9,332.54	Facility		$562.34	$2,187.76	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $3,235.94	Professional		$371.54	$691.83	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $2,187.76	Professional		$407.38	$501.19	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $5,128.61	Facility		$1,513.56	$2,398.83	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $602.56	Professional		$354.81	$426.58	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $676.08	Facility		$380.19	$501.19	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,187.76 / $2,754.23	Professional		$457.09	$2,187.76	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,659.59	Facility		$707.95	$707.95	$1,659.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	53	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,412.54 / $10,232.93	Professional		$467.74	$1,412.54	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $19,952.62	Facility		$977.24	$5,011.87	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $891.25 / $2,630.27	Professional		$407.38	$891.25	$2,630.27